Teenage Booster/Meningitis ACWY Vaccination Consent Form Registration

Please enter your email address and the code provided by your school. Then press 'Find School'. It is important that you enter the correct email address as future correspondence will be emailed to you about your child's vaccination.

Please note If two consent forms requesting the immunisation are received for the same child but from different email addresses, we can only use one form for our record and therefore we can only send information to one email address. Please contact us on 07920 254400 if you require information to be sent to more than one person.

After you have finished, if you change your mind or need to tell us about changes to your child’s medical history, do not complete another consent form. Please contact us to tell us about any changes.

Email address Enter email address

Confirm email address Enter email address Email address doesn't match

School code Enter school code

School name

The information collected on this form will be securely sent to your child’s doctor/GP practice to update their health record. The information will also be requested and securely sent to the local NHS Child Health Information Service.

You can find information about how your data is processed here: www.oxfordhealthimms.co.uk/DataProcessing